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OB - Spring 2016 > Fetal Monitoring and Pain Relief - Unit 2 (Class) > Flashcards

Fetal Monitoring and Pain Relief - Unit 2 (Class) Flashcards

1
Q

What effects fetal oxygenation?

A

Cord compression, BP, mom’s oxygenation, etc.

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2
Q

During contractions, everything presses down, so no blood flow to the baby. T/F?

A

True

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3
Q

What does the sympathetic system do for the heart? Parasympathetic?

A

Symp - increases HR, para decreases.

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4
Q

Parasympathetic - maintains variability, not present until what weeks?

A

28-32 weeks.

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5
Q

Chemoreceptors - respond to chemicals. T/F?

A

True

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6
Q

Numerous early decels- might mean…..?

A

baby is ready to come out!

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7
Q

Vibroacoustic - sound to get baby to ___.

A

MOve

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8
Q

Pressure on the back helps pain for mom, along with hot/cold therapy. T/F?

A

True

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9
Q

What is wagon wheel breathing?

A

Water wheel….you breathe in and out slowly.

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10
Q

Intrathecal opioid - doesn’t affect walking. T/F?

A

True

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11
Q

NO - used for what?

A

Nitrous oxide, used as a relaxer…used more in europe.

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12
Q

Meperidine - rarely used because….

A

half life of metabolite in newborn is really long.

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13
Q

Sublimaze (fentanyl) - Butorphanol (mixed, CAUTION with heroin users). T?F?

A

True

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14
Q

What is naloxone used for?

A

Narcan - reverses the bad effects.

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15
Q

Hydroxyzine - what is it? Used for?

A

Antihistamine that works as an antiemetic.

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16
Q

General anesthetic - when is it used?

A

For someone who needs emergency surgery/etc.

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17
Q

what is a risk for artificial rupture?

A

Cord prolapse.

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18
Q

The longer the water has been broken, the greater the risk of what?

A

Infection

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19
Q

Before AROM

A

Know stationing, trace fetal HR for 20-30 minutes, put pads underneath mom. etc.

20
Q

Amniotic fluid - does it have a distinct odor?

A

Yes

21
Q

A small abruption - might still be able to do a vaginal delivery. T/F?

A

True

22
Q

Vasa previa - what is it

A

Fetal blood vessels are near the opening. Could harm baby if pushed through.

23
Q

What are some risks of augmentation of labor?

A

Hypertonic uterine activity, uterine rupture, maternal water intoxication, greater risk for chorioamniotitis, greater risk for cesarean

24
Q

To be induced, you should be around how many weeks?

A

39 weeks.

25
Q

Cervotec - how is it implanted? What is it?

A

Cervical ripening agent - pill placed close to cervix. Make sure it’s not stuck to your glove!

Cervodil is on a string!

26
Q

Oxytocin - isotonic solution. T/F?

A

True

27
Q

What’s a serial induction?

A

When you get tons of pitocin…and then stop at night to rest.

28
Q

If fetal HR is nonreassuring, what do we do with induction?

A

Stop!

29
Q

Pitocin - makes contractions easier. T?F?

A

FALSE - hurts horribly

30
Q

What are signs of possible water intoxication ?

A

Blurred vision, headache, wheezing, coughing, low BP, increased HR, etc.

31
Q

What’s version?

A

When the baby is turned from the outside by a Dr.

32
Q

When is version contraindicated?

A

Uterine malformations, previous CS with vertical incision, large baby, cephalic pelvic disproportion, multiple gestation, too much amniotic fluid, rupture, placental insufficiency, etc.

33
Q

What are some risk for a baby with version?

A

entanglement in cord, placental abruption, mixing of maternal and fetal blood. MAKE SURE SHE HAS RHOGAN if Rh negative.

34
Q

What’s a large baby weight?

A

over 8 lb, 14 oz.

35
Q

Subgaleal hemorrhage - very serious for baby. T?F?

A

True

36
Q

Episiotomy - why? Risks?

A

Fetal dystocia (shoulders could be stuck or head is stuck), vacuum extractor, occiput posterior position, preterm infant. Risk = infection, pain.

37
Q

It’s not better to tear. T/F?

A

FALSE. It is!

38
Q

Don’t put a lot of pressure on babies head, especially pre-term. T/F?

A

True

39
Q

What are some indications for a cesarean?

A

Dystocia,cephalopelvic disproportion, HTN, maternal disease, active genital herpes, nonreassuring fetal HR, hemorraghic condition, etc.

40
Q

What are some contraindications for cesarean?

A

fetal death, immature fetus, maternal coagulation defects.

41
Q

Cesarean - risk for mom -?

A

Infection, hemorrhage, urinary issues, thromboembolism, paralytic ileus, atelectasis, anesthesia complications, etc.

42
Q

Risks for infant (cesarean)?

A

Lung immaturity issues, transient tachypnea, pulmonary hypertension, traumatic injury, etc

43
Q

Spinal - pretty typical for cesarean?

A

Yup

44
Q

Lab tests before cesarean - what?

A

HgB, platelets, etc.

45
Q

Skin prep before cesarean - what?

A

Cleanest to dirtiest area, 3 minutes!

46
Q

Low transverse = what cut?
Low vertical = what?
Classic = what?

A

Low transverse = bikini cut
Low vertical = lower third but up and down.
Classic = emergent, top part - up and down.

47
Q

2 staff members needed for mom when getting up after cesarean - t/f?

A

true - don’t want her to fall!

OB - Spring 2016 (18 decks)

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